Episode 11: Surviving a Federal Program Integrity Agreement feat. Jim Anliot
Jim Anliot, Director of Healthcare Compliance Services at Affiliated Monitors, Inc., features to discuss how best to navigate a federal program integrity agreement. Not only can you prepare yourself ...
12 Apr 202251min
Episode 10: Evaluating Emergency Departments in Your Compliance Program
Sharon Nicka, founder and president of Nicka & Associates, joins the show to discuss the import of evaluating ED’s in your compliance program. Covering hot topics in the emergent care space, the team...
12 Okt 202137min
Episode 9 - The Importance of Independent Reviews of Revenue Cycle Plans
Independent reviews of a revenue cycle are crucial to ensuring the financial health of your organization. Whether its looking at your organization’s processes to identify charge capture opportunities...
18 Jun 202139min
Episode 8: The Importance of Physician Documentation and How Scribes Can Help
Ensuring compliant coding begins with high-quality documentation. This task need not fall exclusively on the shoulders of the physicians rendering services. Whether it is to supplement existing effo...
20 Apr 202145min
Episode 7: Handling and (Hopefully) Avoiding CMS’s Targeted Probe and Educate Program ft. Teresa Mason
CMS’s Targeted Probe and Educate (“TPE”) Program is yet another mechanism to ensure accurate and compliant claims are submitted for reimbursement to Medicare. This episode Teresa Mason of Epstein Bec...
23 Mar 202155min
Episode 6: The Dangers of Comingling Outsourced Billing & Coding
While outsourcing functions of the revenue cycle, often times it can feel convenient and synergistic to have one entity perform both the billing and coding functions. But buyer beware, there are pitf...
22 Mar 202129min
Episode 5: Remediation – The Importance of an Action Plan Post-Audit
While auditing coding and documentation is critical to validating your compliance efforts, once you have results that fall short of your established accuracy threshold, remediation is the next step in...
4 Des 202038min
Episode 4: Who Performs Your Compliance Audits and When
Selecting the right auditing team is critical to getting the feedback your organization needs to improve on any outstanding deficiencies. This holds true whether you’re performing internal or externa...
6 Nov 202036min
